Individual
JONATHAN GILBERT SANDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
266 TLRB, BRIGHAM YOUNG UNIVERSITY, PROVO, UT 84602
(315) 422-6512
Mailing address
266 TLRB BRIGHAM YOUNG UNIVERSITY, PROVO, UT 84602-6710
(801) 422-6512
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7007953-3902
UT
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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